Jake Anderson
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Paramedic Care Principles and Practice; 6th Edition.

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Jake Anderson
Created by Jake Anderson 11 months ago
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Chapter 15: Hazardous Materials

Chapter 15: Hazardous Materials

Question 1 of 15

1

Toxic substances being metabolized through the liver is a process​ called:

Select one of the following:

  • biotransformation

  • isolation

  • distribution

  • synergism

Explanation

Question 2 of 15

1

Signs and symptoms that a patient exhibits shortly after an exposure to a hazardous material are best described​ as:

Select one of the following:

  • the chronic effects of​ long-term exposure from hazardous chemicals.

  • the delayed effects of a hazardous material.

  • the potential effects of a toxin.

  • the acute effects of a hazardous material.

Explanation

Question 3 of 15

1

An information sheet that is required by law to be kept on the premises of a fixed facility that contains detailed information about specific hazardous substances being kept on site is​ called:

Select one of the following:

  • shipping papers.

  • a National Fire Protection Association​ (NFPA) 704 placarding system.

  • a safety data sheet​ (SDS).

  • a bill of lading.

Explanation

Question 4 of 15

1

When a person or equipment comes in direct contact with a hazardous​ substance, this is known​ as:

Select one of the following:

  • primary contamination.

  • ​cross-contamination.

  • direct exposure.

  • secondary contamination.

Explanation

Question 5 of 15

1

How many levels of hazmat training are available for emergency medical services​ (EMS) providers?

Select one of the following:

  • Five

  • Four

  • Three

  • Two

Explanation

Question 6 of 15

1

The paramedic who has completed the​ "technician level" of hazmat training for emergency medical services​ (EMS) providers has completed education on all of these topics​ EXCEPT:

Select one of the following:

  • how to serve as the incident commander​ (IC) on a hazmat scene.

  • decontamination procedures.

  • focus on personal protection.

  • perform care in the​ "warm zone."

Explanation

Question 7 of 15

1

The technician level of training in hazardous materials is equivalent​ to:

Select one of the following:

  • Emergency medical services​ (EMS) Level 3.

  • Emergency medical services​ (EMS) Level 1.

  • Emergency medical services​ (EMS) Level 2.

  • a hazardous materials operational level training.

Explanation

Question 8 of 15

1

You are a paramedic who maintains an EMS Level 1 in hazardous materials. The incident commander​ (IC) assigns you to immediately initiate lifesaving care for a patient who is in the warm zone who is being prepared for decontamination. You​ should:

Select one of the following:

  • have the IC repeat the​ order, and only then comply.

  • dress in the appropriate protective equipment and report to the leader of the warm zone.

  • refuse to follow the​ order, and report the infraction to your immediate supervisor.

  • advise the IC that you do not meet the training qualifications.

Explanation

Question 9 of 15

1

You and your partner have been dispatched by law enforcement to a report of several residents who have been exposed to the hazardous substances inside a confirmed meth lab. You​ should:

Select one of the following:

  • work with the fire department to set up a gross decontamination station.

  • transport contaminated patients to the nearest emergency department.

  • immediately don protective equipment before making patient contact.

  • begin immediate triage and treatment of affected victims.

Explanation

Question 10 of 15

1

At a hazmat​ incident, paramedics​ may:

Select one of the following:

  • perform both defensive and offensive hazmat functions.

  • activate the Incident Command System​ (ICS).

  • contain the hazardous materials.

  • control the spread of hazardous materials.

Explanation

Question 11 of 15

1

The single most important step for a paramedic to remember when functioning at any hazardous materials scene is​ to:

Select one of the following:

  • identify the hazardous substance.

  • remove critical victims from the hot zone.

  • function in the warm zone.

  • maintain a safe distance uphill and upwind of the scene until safe.

Explanation

Question 12 of 15

1

You have arrived on the scene of an MVA involving an automobile and a tractor trailer carrying a hazardous substance that appears to be leaking from a valve. You are staging at a safe distance uphill and upwind of the incident. You​ should:

Select one of the following:

  • order victims using the PA system on your ambulance to walk toward you if able.

  • attempt to identify the hazardous substance using binoculars.

  • make a decision to approach the scene carefully to rescue any critical victims.

  • Begin triaging victims and creating an evacuation plan.

Explanation

Question 13 of 15

1

You are responding to a report of numerous people sick with nausea and dyspnea. As you approach the​ facility, you observe the National Fire Protection Association​ (NFPA) 704 placard located on the exterior of the building that identifies the blue left segment of the placard with the number 3. You should​ suspect:

Select one of the following:

  • that any contact with the product within the facility will be lethal.

  • that exposure to a product within the facility may cause serious or permanent injury.

  • that there is no hazard beyond normal combustion.

  • that if the product is​ inhaled, there should not be any significant problems.

Explanation

Question 14 of 15

1

Structures of all types can contain hazardous substances. A visual recognition aid used to identify hazardous materials within a fixed facility​ is:

Select one of the following:

  • the bill of lading.

  • ​Computer-Aided Management of Emergency Operations​ (CAMEO).

  • U.S.Department of Transportation​ (DOT) Emergency Response Guidebook​ (ERG) and material safety data sheet​ (MSDS) papers.

  • the National Fire Protection Association​ (NFPA) 704 System.

Explanation

Question 15 of 15

1

Which National Fire Protection Association​ (NFPA) standard deals with the training standards for emergency medical services​ (EMS) personnel assigned to hazmat​ incidents?

Select one of the following:

  • NFPA 473

  • NFPA 472

  • NFPA 1006

  • NFPA 1561

Explanation

Question 16 of 15

1

What is the designated area at a hazardous materials incident where only the highest trained and equipped hazardous materials personnel are allowed to​ function?

Select one of the following:

  • Support zone

  • Spill control zone

  • Hot zone

  • Cold zone

Explanation

Question 17 of 15

1

In a hazardous materials​ incident, normal patient triage takes place in which​ zone?

Select one of the following:

  • Warm

  • Contamination reduction

  • Exclusionary

  • Cold

Explanation

Question 18 of 15

1

The hot​ zone, also referred to as the exclusionary​ zone, is best described​ as:

Select one of the following:

  • the area of contamination where only responders equipped with appropriate personal protective equipment​ (PPE) can enter to perform rescue operations.

  • the area that lies immediately adjacent to the hot zone where decontamination occurs.

  • the area where rescuers must dispose of contaminated gear before entering the warm zone.

  • the site where lifesaving emergency care is performed.

Explanation

Question 19 of 15

1

Which statement regarding the cold zone is most​ correct?

Select one of the following:

  • Once​ decontaminated, responders should remove their personal protective clothing in the cold zone.

  • Patient decontamination is conducted in the cold zone.

  • The cold zone should be free of any contamination.

  • Lifesaving care should be withheld until the patient reaches the cold zone.

Explanation

Question 20 of 15

1

The term boiling point refers​ to:

Select one of the following:

  • lowest temperature at which a liquid will give off enough vapors to support combustion it is slightly higher than flash point.

  • the temperature range in which a vapor concentration air will ignite and combust.

  • the lowest temperature at which a liquid will give off enough vapors to ignite.

  • the temperature at which a liquid becomes a gas.

Explanation

Question 21 of 15

1

What type of radiation is most damaging to human​ tissue?

Select one of the following:

  • Gamma radiation

  • Delta radiation

  • Beta radiation

  • Alpha radiation

Explanation

Question 22 of 15

1

While taking a paramedic refresher​ class, a local hazmat expert is discussing terms commonly used medical hazmat operations. To this​ end, what does ignition temperature refer​ to?

Select one of the following:

  • The lowest temperature at which a liquid will give off enough vapors to ignite.

  • Lowest temperature at which a liquid will give off enough vapors to support combustion.

  • The temperature at which a liquid becomes a gas.

  • The temperature range in which a vapor concentration air will ignite and combust.

Explanation

Question 23 of 15

1

What type of​ radiation, should an accident​ occur, does not require any decontamination of those​ exposed?

Select one of the following:

  • Gamma radiation

  • Beta radiation

  • Delta radiation

  • Alpha radiation

Explanation

Question 24 of 15

1

Which answer best explains the role of emergency medical services​ (EMS providers in preventing secondary contamination at a hazardous materials​ incident?

Select one of the following:

  • Rescuing patients from the hot zone

  • Taking initial actions to contain and isolate the hazardous material and patients

  • Creating a definitive plan of action for controlling the release of the hazard

  • Decontaminating patients

Explanation

Question 25 of 15

1

At the point of primary​ contamination, the​ contamination:

Select one of the following:

  • has traveled beyond the hot zone.

  • is in the cold zone.

  • is limited.

  • has spread to others.

Explanation

Question 26 of 15

1

What is a local effect of a chemical​ agent?

Select one of the following:

  • An effect occurring throughout the body

  • An effect involving multiple body systems

  • An effect involving the area around the immediate site of exposure

  • An effect that cannot be evaluated by standard criteria

Explanation

Question 27 of 15

1

Once substances enter the bronchial​ tree, they can be absorbed​ quickly, especially​ in:

Select one of the following:

  • ​oxygen-deficient atmospheres.

  • a confined space.

  • an open space.

  • ​oxygen-rich atmospheres.

Explanation

Question 28 of 15

1

In any situation involving chemical​ exposure, what should you do after ensuring your own​ safety?

Select one of the following:

  • Start all patients on oxygen.

  • Review the decontamination process.

  • See that all patients receive the necessary supportive measures.

  • Find a second source to agree on medication delivery.

Explanation

Question 29 of 15

1

A patient has been exposed to a pesticide through accidental ingestion. The primary treatment for this patient should​ be:

Select one of the following:

  • absorption

  • inducement of vomiting.

  • atropinization

  • dilution

Explanation

Question 30 of 15

1

A patient has ingested a​ corrosive, can​ swallow, and is not drooling. How should you treat this​ patient?

Select one of the following:

  • Administer sodium bicarbonate via intravenous​ (IV) push.

  • Administer furosemide.

  • Direct the patient to drink water.

  • Induce vomiting.

Explanation

Question 31 of 15

1

A patient with which type of primary exposure typically does not require​ decontamination?

Select one of the following:

  • CO exposure

  • Corrosive exposure

  • Organophosphate exposure

  • Hydrocarbon solvent exposure

Explanation

Question 32 of 15

1

What level of hazardous materials personal protective equipment provides chemically resistant splash​ protection, but not full​ encapsulation, and includes​ self-contained breathing apparatus​ (SCBA)?

Select one of the following:

  • Level B

  • Level C

  • Level D

  • Level A

Explanation

Question 33 of 15

1

Which protective ensemble offers the highest level of respiratory and splash protection against unknown​ substances?

Select one of the following:

  • Level D

  • Level A

  • Level C

  • Level B

Explanation

Question 34 of 15

1

In considering which type of personal protective equipment to use at a hazmat​ incident, you should base your decision​ on:

Select one of the following:

  • the chemical or substance involved.

  • the outside environmental conditions.

  • the cost of the ensemble.

  • the ease of donning and doffing the protective gear.

Explanation

Question 35 of 15

1

What is the universal decon​ method?

Select one of the following:

  • Vegetable oil

  • Water

  • Dry brush

  • Isopropyl alcohol

Explanation

Question 36 of 15

1

As a paramedic functioning on the scene of a hazardous materials incident at a fixed​ facility, you may be asked​ to:

Select one of the following:

  • perform preentry and postentry physical exams of the hazmat entry team.

  • conducting decontamination on the entry team personnel coming out of the hot zone.

  • assist the entry team in identifying the product.

  • research the properties of the hazardous substances.

Explanation

Question 37 of 15

1

As the hazmat entry team completes the decontamination​ process, they doff their personal protective equipment and move to the cold zone for you to conduct their postentry evaluation. Because the hazmat incident is occurring on a hot and humid July​ day, your greatest concern for the team members​ is:

Select one of the following:

  • abnormal heart rate.

  • respiratory distress.

  • nausea and vomiting.

  • environmental heat stress.

Explanation

Question 38 of 15

1

For prehydration of entry team​ personnel, sports​ drinks:

Select one of the following:

  • should be diluted with 50 percent water.

  • are inappropriate.

  • should be alternated with 8 to 16 ounces of water.

  • are most effective at full strength.

Explanation

Question 39 of 15

1

As the hazardous materials team prepares to make entry into the hot zone to mitigate an active​ leak, the process of the preentry physical should include documenting all of these bits of information​ except:

Select one of the following:

  • body temperature and weight.

  • ​pulse, blood​ pressure, and respirations.

  • current and past medical history.

  • Electrocardiogram​ (ECG) and​ mental/neurological status.

Explanation

Question 40 of 15

1

At which hazmat level should a paramedic be trained to before being able to function in the warm zone of a hazardous materials​ incident?

Select one of the following:

  • Hazmat operations level

  • Awareness level

  • Emergency medical services​ (EMS) Level 1

  • Emergency medical services​ (EMS) Level 2

Explanation

Question 41 of 15

1

At a hazmat incident involving a chemical​ spill, paramedics are least likely​ to:

Select one of the following:

  • evaluate decontamination methods.

  • treat and transport exposed patients.

  • neutralize and clean up the spilled chemicals.

  • perform medical monitoring of hazmat teams.

Explanation

Question 42 of 15

1

You are responding to a scene involving an overturned railway​ tanker, and you want to identify the material the tanker was transporting. Which is a disadvantage of relying on shipping papers for information about a hazardous​ material?

Select one of the following:

  • They do not carry the UN identification number of the substance.

  • They are not required to list the hazard class of the material.

  • Because they are kept onboard the​ vehicle, they may be inaccessible in the event of a spill.

  • They do not give information about the amount of the substance involved.

Explanation

Question 43 of 15

1

You are responding to a fire at a chemical factory involving an unknown substance. Your partner opens the copy of the Emergency Response Guidebook you have in the ambulance. In the Emergency Response​ Guidebook, what information is provided within this reference​ book?

Select one of the following:

  • A list of hazardous materials substance​ names, placard​ identification, and evacuation distances for most substances

  • Guidelines for cleaning up specific hazardous substances

  • Chemical compounds along with the periodical table

  • Treatment protocols for chemical exposure

Explanation

Question 44 of 15

1

Which statement regarding operations within the hot zone is most​ inaccurate?

Select one of the following:

  • Only personnel with appropriate personal protective equipment​ (PPE) will be allowed in the hot zone.

  • Only highly trained responders can operate within the hot zone.

  • The physical size of the hot zone is based on the magnitude of the contamination.

  • Patients in the hot zone found with compromised airways should be addressed before being moved to the warm zone.

Explanation

Question 45 of 15

1

During the postentry​ physical, you discover that an entry team member has an altered level of​ consciousness, hypotension, and tachycardia. You​ should:

Select one of the following:

  • check the team​ member's body weight before allowing reentry into the hot zone.

  • reevaluate the team​ member's vital signs in 15 minutes for improvement.

  • restrict the team member from being allowed to reenter the hot zone.

  • immediately assist the team member with drinking water or an energy drink.

Explanation

Question 46 of 15

1

The single most important step for a paramedic to remember when functioning at any hazardous materials in which a hazardous material spill is causing vapors to be released into the air is​ to:

Select one of the following:

  • remove critical victims from the hot zone.

  • function in the warm zone.

  • maintain a safe distance uphill and upwind of the scene until safe.

  • identify the hazardous substance.

Explanation

Question 47 of 15

1

While you are responding to a motor vehicle accident involving a tanker​ truck, the dispatcher notifies you that passing motorists are reporting that there are numerous bystanders experiencing acute respiratory distress. With this​ information, you​ should:

Select one of the following:

  • attempt to rescue the patients who are salvageable.

  • attempt to establish how many victims are affected and request additional resources.

  • stage at a safe distance​ off-site, uphill and upwind of the​ incident, and attempt to view the incident scene using binoculars.

  • activate the local​ multiple-casualty incident​ (MCI) protocol.

Explanation

Question 48 of 15

1

An emergency responder who may perform patient care in the warm zone on patients who still present a significant risk of secondary contamination​ describes:

Select one of the following:

  • an emergency medical services​ (EMS) Level​ 1, or the operations level responder.

  • a hazardous materials specialist level responder.

  • an awareness level responder.

  • an emergency medical services​ (EMS) Level​ 2, or the technician level responder.

Explanation

Question 49 of 15

1

A patient has accidentally ingested a hydrocarbon solvent and may have inhaled fumes from the solvent as well. Which statement about hydrocarbon solvents is most​ incorrect?

Select one of the following:

  • Primary effects of exposure to hydrocarbon solvents include​ dysrhythmias, pulmonary​ edema, and respiratory failure.

  • If the patient begins to present with​ seizures, consideration should be given to the administration of diazepam.

  • When the patient has ingested a​ solvent, you should give the patient ipecac syrup and induce vomiting.

  • In case of​ inhalation, maintain and support the​ airway, breathing, circulation​ (ABCs).

Explanation

Question 50 of 15

1

A patient who has undergone field decontamination prior to receiving medical treatment is best described as​ a:

Select one of the following:

  • semidecontaminated patient requiring a more invasive decon process.

  • patient who should not receive any care until he or she has been further decontaminated.

  • patient who is ready to be moved to the cold zone for initial treatment.

  • fully decontaminated patient not requiring any additional decontamination.

Explanation

Question 51 of 15

1

Where should an National Fire Protection Association​ (NFPA) 704 placard be expected to be found​ at?

Select one of the following:

  • A semitruck tanker carrying gasoline

  • A railroad tanker carrying liquid nitrogen

  • An outdoor storage tank holding liquid oxygen

  • Barrels of methyl alcohol on a towed barge

Explanation

Question 52 of 15

1

When approaching the scene of a potential hazardous materials incident that has a light whitish haze coming from​ it, you​ should:

Select one of the following:

  • use binoculars to make a visual inspection of the scene from a safe distance.

  • approach the scene and position as close as needed to visually read the placards with the naked eye if binoculars are not available.

  • approach the scene from a downwind and uphill direction.

  • establish a safety zone of initially 50 feet with the ability to increase it as necessary.

Explanation

Question 53 of 15

1

As you are performing a preentry physical on the assigned entry​ team, you assess a team member who is exhibiting abnormal vital signs that are outside of the allowable parameters of the​ department's standard operating procedures​ (SOPs). You should​ immediately:

Select one of the following:

  • overlook the findings if you are short entry team members.

  • advise the team member and report your findings to either the safety officer or the incident commander.

  • reassess the vital signs 5 minutes later.

  • allow for the entrant to don personal protective equipment​ (PPE) and enter into the hot zone.

Explanation

Question 54 of 15

1

The respirator designed for use in conjunction with Level C protective equipment that can be utilized during transport of patients with the potential of secondary contamination​ is:

Select one of the following:

  • a​ supplied-air breathing apparatus​ (SABA).

  • a​ self-contained breathing apparatus​ (SCBA).

  • an​ air-purifying respirator​ (APR).

  • an​ N-90 filter mask.

Explanation

Question 55 of 15

1

When hazardous materials are involved in or threatened by​ fire, the size of the danger zone​ is:

Select one of the following:

  • anywhere with flames or smoke from the fire.

  • dictated by the nature of the materials.

  • a​ 1-mile square area with the site of the fire at the center.

  • a​ 100-foot radius from the site of the fire.

Explanation

Question 56 of 15

1

In the case of topical​ absorption, a toxic substance has entered the​ body:

Select one of the following:

  • through inhalation.

  • by ingestion.

  • through the skin.

  • by injection.

Explanation

Question 57 of 15

1

What level of hazmat training for the emergency medical services​ (EMS) provider allows them to enter the​ "hot zone" at a hazmat​ incident?

Select one of the following:

  • EMS providers do not enter the​ "hot zone."

  • EMS Level 1

  • EMS Level 2

  • EMS Level 3

Explanation

Question 58 of 15

1

In terms of reducing your exposure to an alpha radioactive​ source, what is the best​ method?

Select one of the following:

  • A full protective suit with​ self-contained breathing apparatus​ (SCBA)

  • Several inches of lead

  • A concrete barrier

  • Standard precautions

Explanation

Question 59 of 15

1

When decontaminating a patient exposed to solid​ corrosives, first:

Select one of the following:

  • brush off dry particles.

  • flush the exposed area with large quantities of cold water.

  • rub the exposed area with a​ saline-moistened dressing.

  • flush the exposed area with a gallon of hot water.

Explanation

Question 60 of 15

1

A patient inhales​ chlorine, which causes the patient to develop pulmonary edema. What is a specific means of treating this pulmonary edema​ (select the most correct​ answer)?

Select one of the following:

  • Establishing an intravenous​ (IV) and administering fluids to dilute the irritants

  • Administering furosemide​ (Lasix)

  • Completing a primary decontamination

  • Maintaining and supporting the​ airway, breathing, circulation​ (ABCs)

Explanation

Question 61 of 15

1

As you arrive on scene of a motor vehicle incident involving a package delivery​ truck, you observe liquids dripping from the rear of the truck and forming a visible vapor as they hit the ground. With this​ information, you would​ suspect:

Select one of the following:

  • that it is highly unlikely that any hazardous materials are being carried in the truck.

  • if you work​ quickly, you and your partner can perform a rescue of the driver before you are affected by any potential harmful vapors.

  • that this could involve hazardous materials because not all delivery trucks are required to display placards.

  • that there may be shipping papers that you could access in the cab that list the contents of the truck.

Explanation

Question 62 of 15

1

Your ambulance has just arrived at a hazmat scene where incident command has established​ hot, warm, and cold zones. Both you and your partner are hazmat awareness level trained. Your most likely duty assignment will​ be:

Select one of the following:

  • to perform lifesaving patient care in the warm zone.

  • to move critical patients from the hot zone to your ambulance for transport.

  • to conduct decontamination of potentially injured patients.

  • to perform triage and treatment in the cold zone.

Explanation

Question 63 of 15

1

You and your partner respond to a scene at which multiple people are presenting with​ choking, coughing, and vomiting that seem to be related to the release of a chemical agent in the area. You should expect​ that:

Select one of the following:

  • the response to this event will involve multiple agencies and jurisdictions.

  • you will need law enforcement involvement only if the chemical agent was released as part of an attack.

  • the agent will already have​ dissipated, and its effects will be contained to these patients.

  • these patients have been contaminated but are not a contamination risk themselves.

Explanation

Question 64 of 15

1

Which configuration of protective equipment offers the least amount of protection to hazardous materials​ exposure?

Select one of the following:

  • Nonpermeable​ suit, boots,​ gloves, and eye protection along with an​ air-purifying respirator

  • Fully​ encapsulated, impermeable chemical suit with​ self-contained breathing apparatus​ (SCBA)

  • Nonencapsulating​ chemical-resistant suit,​ boots, gloves, and eye and respiratory protection

  • Structural firefighting gear

Explanation

Question 65 of 15

1

You are called to care for a man who is having pain when gasoline got into his eyes. He stated he was refueling his lawn​ mower, and the gas had been sitting outside in the sun with the cap on tightly. When he removed the gas can​ lid, gas vapor rapidly expelled and got into his eyes and is now burning. The increase in the pressure inside the can was caused​ by?

Select one of the following:

  • Elevated vapor density

  • Increased specific gravity

  • Decreased water solubility

  • Increased vapor pressure

Explanation

Question 66 of 15

1

What is CHEMTREC?

Select one of the following:

  • A guidebook for identifying hazardous materials

  • An organization with a 24-hour information hotline regarding hazardous materials

  • The set of laws governing the transport of hazardous materials

  • The acronym for the levels of training for hazmat providers

Explanation

Question 67 of 15

1

An incident involving which of the following types of vehicles may result in a hazardous materials incident?

Select one of the following:

  • Cars powered by alternative fuels

  • Tractor-trailers

  • Tanker trucks

  • All of the above

Explanation

Question 68 of 15

1

Each year in the United States, an estimated ________ of hazardous materials are shipped via road, rail, and pipelines.

Select one of the following:

  • 8 million tons

  • one hundred thousand pounds

  • 4 billion tons

  • 2 billion pounds

Explanation

Question 69 of 15

1

You have responded to a ranch where three adult male patients are complaining of abdominal cramping, vomiting, and diarrhea. They state they were applying chemicals to a field when they became ill. Based on this, which of the following should you suspect?

Select one of the following:

  • They have heatstroke.

  • They became contaminated with organophosphates.

  • They have been exposed to anhydrous ammonia.

  • They have been exposed to anthrax.

Explanation

Question 70 of 15

1

A substance that may be an acid or an alkali and that can damage the skin and other tissues best describes a(n):

Select one of the following:

  • solvent

  • corrosive

  • irritant

  • desiccant

Explanation

Question 71 of 15

1

Unless specially trained, EMS personnel operate in which of the following zones of a hazardous materials incident?

Select one of the following:

  • Green

  • Orange

  • Yellow

  • Red

Explanation

Question 72 of 15

1

On the scene of a hazardous materials emergency, which of the following individuals is best suited to serve as incident commander?

Select one of the following:

  • Fire service rescue technician

  • Paramedic

  • Hazardous materials technician

  • Hazmat specialist

Explanation

Question 73 of 15

1

You have just completed hazmat EMS level 2 training. This means that you are now trained to:

Select one of the following:

  • contain hazardous material spills

  • evacuate patients from the hot zone.

  • provide patient care in the warm zone.

  • clean up hazardous materials safely.

Explanation

Question 74 of 15

1

Which one of the following statements shows that the paramedic has a proper understanding of basic operations at the scene of a hazardous materials emergency?

Select one of the following:

  • "Life or health should never be risked if the threat is only to the environment."

  • "The most important thing is to identify the exact material involved in the incident."

  • "Olfactory clues are the most reliable way to identify a hazardous material incident."

  • "Identification of the material is not important, as the approach is the same for all materials."

Explanation

Question 75 of 15

1

As you approach the scene of a motor vehicle collision, you realize that there is a tanker truck involved and that it has tipped over. Which of the following actions is appropriate?

Select one of the following:

  • Stop a safe distance away, use binoculars to locate any placards on the tanker, and reference the Emergency Response Guide.

  • Stop a safe distance from the scene, use binoculars to locate any placards on the tanker, and reference the safety data sheet.

  • When you reach the scene, look for the NFPA 704 label and reference the safety data sheet.

  • When you reach the scene, look for any placards on the tanker and reference the Emergency Response Guide.

Explanation

Question 76 of 15

1

During transport of a patient exposed to a hazardous material, which of the following types of glove provides the paramedic with the best protection during patient care?

Select one of the following:

  • Leather

  • Reinforced mesh cloth

  • Latex

  • Nitrile

Explanation

Question 77 of 15

1

When providing medical monitoring of hazardous materials personnel, for which of the following should you keep a high index of suspicion?

Select one of the following:

  • Heat stress

  • Atrial fibrillation

  • Myocardial ischemia

  • Hypoglycemia

Explanation

Question 78 of 15

1

Which of the following would raise the most suspicion of a hazardous materials incident?

Select one of the following:

  • A pair of landfill workers with symptoms of sore throat and fever

  • Multiple patients at a factory with respiratory complaints

  • Rising incidence of suicide in a rural county

  • Multiple patients at an outdoor event complaining of "heatstroke"

Explanation

Question 79 of 15

1

The most accurate information about a transported substance can be found in which of the following?

Select one of the following:

  • NFPA 704 system

  • Safety data sheet

  • Shipping papers

  • Emergency Response Guide

Explanation

Question 80 of 15

1

Which of the following regarding hazardous materials is provided by the Emergency Response Guide?

Select one of the following:

  • A different UN for every material listed

  • Special information regarding long-term health and environmental hazards for each material

  • Specific decontamination and treatment information for each material listed

  • Evacuation distances for the most hazardous materials

Explanation

Question 81 of 15

1

Which of the following is used to identify hazardous materials in fixed facilities?

Select one of the following:

  • DOT placards

  • SDS

  • CAMEO tags

  • NFPA 704 system

Explanation

Question 82 of 15

1

You have entered a manufacturing setting on a call and note a large storage container with a diamond-shaped label. The left side of the label is blue and contains the number 4. The top portion of the label is red and contains the number 1. What does this mean?

Select one of the following:

  • The substance is highly hazardous to health, but does not pose a significant fire risk.

  • The substance is highly flammable, but does not pose a significant health risk.

  • The substance is highly hazardous to health, but does not pose a significant risk of reactivity.

  • The substance is highly reactive, but does not pose a significant health risk.

Explanation

Question 83 of 15

1

You have arrived on the scene of a chemical leak at laboratory. The placard has a "1" in the blue diamond and a "4" in the red diamond, which means the material is:

Select one of the following:

  • flammable, but represents a low health hazard.

  • explosive with a high associated health hazard.

  • a solid that is very flammable.

  • a flammable liquid with radioactive properties.

Explanation

Question 84 of 15

1

On the National Fire Protection Association hazardous materials classification placard, the blue diamond represents:

Select one of the following:

  • reactivity

  • health hazard.

  • specific hazard

  • fire hazard.

Explanation

Question 85 of 15

1

You are working the scene of a collision involving a tractor-trailer that is hauling an unknown chemical. Because no material is leaking from the truck and the scene is safe, the incident commander asks you to get the truck's shipping papers. Where would these most likely be located?

Select one of the following:

  • Shipping vault on the trailer

  • Cab of the truck

  • Rear compartment on the tanker

  • Electrical box between the tractor and trailer

Explanation

Question 86 of 15

1

It has been determined that the concentration of a substance is at IDLH. This means that patients exposed to the area:

Select one of the following:

  • are at risk for adverse effects or death as soon as they are exposed

  • will suffer no adverse effects if they have been exposed for less than 15 minutes

  • have a 50 percent likelihood of dying.

  • require transport and inpatient hospitalization.

Explanation

Question 87 of 15

1

In a hazardous materials incident, decontamination begins in the ________ zone.

Select one of the following:

  • central

  • cold

  • warm

  • hot

Explanation

Question 88 of 15

1

At the scene of a hazardous materials emergency, you have been assigned to the cold zone. In this zone, which one of the following would you perform?

Select one of the following:

  • Initial decontamination

  • Initial triage

  • Removal of contaminated rescue gear

  • Obtaining vital signs

Explanation

Question 89 of 15

1

When working in the warm zone, the paramedic should remember that:

Select one of the following:

  • the area is actively contaminated.

  • there is no danger of contamination.

  • protective gear must be worn.

  • patient care is not performed

Explanation

Question 90 of 15

1

Which of the following is the most common route of exposure to hazardous materials?

Select one of the following:

  • Injection

  • Ingestion

  • Inhalation

  • Absorption

Explanation

Question 91 of 15

1

The highest level of respiratory and splash protection from hazardous materials exposure is provided by level ________ protective equipment.

Select one of the following:

  • A

  • B

  • C

  • D

Explanation

Question 92 of 15

1

Firefighter "turnout" gear is considered what level of protective equipment

Select one of the following:

  • A

  • B

  • D

  • C

Explanation

Question 93 of 15

1

Which of the following is the universal decontamination agent for hazardous materials exposure?

Select one of the following:

  • A low-sudsing detergent

  • Water

  • Activated charcoal

  • Tincture of green soap

Explanation

Question 94 of 15

1

Which of the following is NOT recommended in managing patients exposed to carbamate pesticides?

Select one of the following:

  • Using tincture of green soap in the decontamination process

  • Administering pralidoxime

  • Decontaminating with water

  • Administering atropine

Explanation

Question 95 of 15

1

The driver of a truck carrying a caustic substance in powder form has accidentally come into contact with the material. You are first on the scene, and a quick observation indicates that he has powder on his arms. Your immediate action would be to:

Select one of the following:

  • brush off the powder, then rinse the area with water.

  • place the patient in the ambulance, but avoid touching his arms.

  • instruct the patient to remain still and wait for the incident safety officer.

  • wrap the arms in dry, sterile dressings.

Explanation

Question 96 of 15

1

You have been cleared by the incident commander at a hazmat incident to prepare to go off duty. After completing decontamination, which of the following should be your FIRST action?

Select one of the following:

  • Return to the ambulance and drive to your station.

  • Inform dispatch that you are off duty and leave the scene.

  • Report directly to EMS for post-entry monitoring.

  • Remove and bag your uniform.

Explanation

Question 97 of 15

1

Which of these is required for those who may perform patient care in the cold zone on patients who do not present a significant risk of secondary contamination?

Select one of the following:

  • EMS Level 1 training

  • EMS Level 2 training

  • Awareness Level

  • Multiple Casualty training

Explanation

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